Provider Demographics
NPI:1720293962
Name:HARWOOD, DANNIELLE OLIVIA (MD)
Entity Type:Individual
Prefix:DR
First Name:DANNIELLE
Middle Name:OLIVIA
Last Name:HARWOOD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1645 ESPLANADE
Mailing Address - Street 2:SUITE 4
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95926-3367
Mailing Address - Country:US
Mailing Address - Phone:530-588-0362
Mailing Address - Fax:530-894-3107
Practice Address - Street 1:1645 ESPLANADE
Practice Address - Street 2:SUITE 4
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95926-3367
Practice Address - Country:US
Practice Address - Phone:530-588-0362
Practice Address - Fax:530-894-3107
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-11
Last Update Date:2011-12-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA98775207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1982837787OtherNPI
CA1982837787OtherNPI
CACY471AMedicare PIN